Tutorial Tips
To best view the tutorial, the following computer settings are suggested:

  • Monitor resolution set to 1024 x 768 (or higher).


  • Internet connection speed of 56kbps or higher (preferably a DSL, Cable or LAN connection).


UB-04 Claim Form

This tutorial provides step-by-step instructions on how to complete the UB-04 claim form.
It also highlights the specific fields that changed in comparison to the former UB-92 Claim Form.